Boarding Vaccine Release Form

I ___________________________ (owner and or responsible party) do herby understand that I am willingly boarding my pet at Hassayampa Canine Resort and Spa and he/she is not current on all vaccines. Hassayampa Canine Resort and Spa recommends my pet be current on Bordetella, Distemper/Parvo combination vaccine or titer and Leptospirosis vaccine and requires Rabies vaccine, unless the pet is under 4 months of age, for the safety of my pet and to aid in the prevention of contagious diseases in a boarding setting.*
I understand as the owner and responsible party for: _____________(patients name/sex/age/breed) that I am taking a risk that my pet may be exposed to potentially contagious diseases and by not being current on all vaccines is at a higher risk for infection. We further understand that Hassayampa Canine Resort and Spa does everything in its power to prevent such problems from arising.*
I herby release Hassayampa Canine Resort and Spa, its doctors and staff from any and all responsibility if my pet were to contract an infectious disease during the boarding period. I have declined vaccinating for __________________________________________ (list all that pertain)*
My Pet is too young to have received all of his or her Vaccines?*
- Yes
- No
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